CA2257860A1 - Inclusion complex containing indole selective serotonin agonist - Google Patents
Inclusion complex containing indole selective serotonin agonist Download PDFInfo
- Publication number
- CA2257860A1 CA2257860A1 CA002257860A CA2257860A CA2257860A1 CA 2257860 A1 CA2257860 A1 CA 2257860A1 CA 002257860 A CA002257860 A CA 002257860A CA 2257860 A CA2257860 A CA 2257860A CA 2257860 A1 CA2257860 A1 CA 2257860A1
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- CA
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- Prior art keywords
- inclusion complex
- cyclodextrin
- beta
- methyl
- sumatriptan
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B82—NANOTECHNOLOGY
- B82Y—SPECIFIC USES OR APPLICATIONS OF NANOSTRUCTURES; MEASUREMENT OR ANALYSIS OF NANOSTRUCTURES; MANUFACTURE OR TREATMENT OF NANOSTRUCTURES
- B82Y5/00—Nanobiotechnology or nanomedicine, e.g. protein engineering or drug delivery
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- A61K31/13—Amines
- A61K31/135—Amines having aromatic rings, e.g. ketamine, nortriptyline
- A61K31/137—Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
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- A61K31/165—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
- A61K31/166—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide having the carbon of a carboxamide group directly attached to the aromatic ring, e.g. procainamide, procarbazine, metoclopramide, labetalol
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- A61K31/19—Carboxylic acids, e.g. valproic acid
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- A61K31/4045—Indole-alkylamines; Amides thereof, e.g. serotonin, melatonin
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Abstract
An inclusion complex comprises (a) an indole selective serotonin (5-HTID) agonist or a pharmaceutically acceptable salt thereof, such as for example sumatriptan, and (b) unsubstituted or substituted beta- or gamma-cyclodextrin, such as for example methyl-beta-cyclodextrin. Pharmaceutical compositions containing the inclusion complex and the use of the inclusion complex in the treatment of migraine and cluster headaches are also disclosed.
Description
CA 02257860 l998-l2-09 rNCLUSION COMPLEX CONTAINING rNDOLE
SELECTIVE SEROTONTN AGONIST
BACKGROUND OF THE INVEi~TION
THIS invention relates to an inclusion comple,Y of an indole selective serolonin (5-HT~D) agonist and an unsubstituted or substituted beta- or garnma-cyclode,Ytrin, and to pharmaceutical composi~ions containing such a complex, particularly for oral or nasal mucosal delivery, for the trealment of migraine or cluster headaches.
Sumatriptan (3-(2-dimethylaminoethyl)indol-5-yl-N-melhylmethanesulphonamide) and olher structurally relaled indole derivatives such as naratriptan, rizatriptan, zolmitriptan, eletriptan and almotriptan are selective serotonin (5-HT,D) agonists useful for the trealment of migraine. Sumatriptan is given orally or subcutaneously as the succinate salt for the treatment of migraine. Sumatriptan is rapidly absorbed following oral a~mini.stration and undergoes e,Ytensive pre-systemic metabolism, CA 022~7860 1998-12-09 W 098/02186 PCTtGB97/01872 resulting in a low bioavailability of about 14%. The bioavailability fo~lowing subcutaneous a-lmini~tration is 96%. For the acute treatment of migraine~
sumatriptan may be given in an initial dose of lOOmg by mouth and a clinical response can be e~pected between 0,- to ' ho-lrs. Alternatively, sumatriptan may be given by subcutaneous injectioll in a single dose of 6 mg with a clinical response in 10 - 1~ minutes.
Apart from the low bioavailability following oral administration of anti-migraine compo-mds such as sumatriptan~ the classical oral route of administration has limitations in the treatment of migraine due to nausea and vomiting associated with migraine attacks. Many patients are averse to self administration by subcutaneous injection, limiting this route of a~lmini.~tration.
The oral and nasal cavities have several advantages as sites for systemic drug delivery, particularly avoidance of presystemic metabolism. However, the low permeability of the membranes that line the oral and nasal cavities result in a low flux of drug. There is therefore a need to enhance drug penetration to improve bioavailability following oral or nasal m-lcosal drug delivery.
There are several methods known in the art to deliver drugs to the oral and nasal mucosae. These include buccal and sublingual tablets or lozenges, adhesive patches, gels, solutions or sprays (powder, liquid or aerosol) for the oral cavity and solutions or sprays (powder, liquid or aerosol) for the nasal cavity.
The absorption of drugs from mucosal membranes may be enhanced by (i) increasing drug solubility, (ii) pH modification to favour the unionized form of the drug, (iii) addition of mucoadhesive agents to improve contact between the delivery system and the membrane and (iv) incorporation of so-called penetration enhancers.
CA 022~7860 1998-12-09 There are a number of penetration enhancers known to influence the permeability of drugs across epithelial membranes [for a recent review see Walker, R.B and Smith. E.W. Advanced Drug Delivery Revie~vs 1996 '95-301] .
CyclodeYtrins and their derivatives have found e~;tensive application as sol~lbilizers and stabilizers due to their abilit,v to form inclusion compleYes with a wide variety of compounds [see (J. Szejtli. C~ clocf~xtrin Techf1010~;, Kluwer Academic Press) and (J. Szejtli & K-H Frommin_, Cyclo~ex~ri)?s in Pharmacy, Kluwer Academic Press)]. Cyclode~trins have been used to enhance intestinal absorption of drugs primaril,v throuoh increasino solubility.Recently. cyclodextrins have been shown to have positive and ne~ative effects on transdermal penetration of drugs [see (Loftsson. T. et al International Journal of Pharmaceutics 199~ 58), (Vollmer~ U. et al. International Journal of Pharmaceutics 1993, 99~ ~1-58), (Legendre. J.Y.
et al. European Journal of Pharmaceutical Sciences 199~, 3~ 311-3~) and (Vollmer, U. et al Journal of Pharmacy and Pharmacology 199~ 46, 19-~2)~ .
Cyclode,Ytrins may improve nasal absorption of dru~s [see (Merkus~ F.W. et al. Pharmaceutical Research 1991, 8~ 588-59~) and (Shao~ Z. et al Pharmaceutical Research 199~, 9, 11~7-1163)] and enhance absorption from sublingual a(lmini.~tration of drug/cyclode,Ytrin comple~es. CyclodeYtrins also protect nasal mucosal damage by penetration enhancers [see Jabbal-Gill, I. et al. European Journal of Pharmaceutical Sciences 1994~ 1(5)~ 229-~36]
Cyclodextrins are water soluble cone-shaped cyclic oligosaccharides containing 6, 7 or 8 glucopyranose units. The interior or 'cavity" of the cone is hydrophobic whilst the exterior is hydrophilic. The size of the cavit,v increases with increasing number of glucose units. Several cvclode~trin derivatives such as alkyl, hydro,Yyalkyl and sulfoalkyl ethers have been prepared with improved solubility [see (J. Szejtli & K-H Fromming~
Cyclodextrins in Pharmacy, Kluwer Academic Press) and (Stella~ V.J. et al CA 022s7860 1998-12-09 Pharmaceutical Research 1995, 1~ (9) S205)1. Suitably sized hydrophobic''~uest" molecules may enter the ~'host' cavitv to form a classical host-~Juest 'inclusion compound" or ''inclusion complex' witll either the elltire guest molecule included or only a portion thereof~ The driving mechanism for cyclodextrin inclusion complexation is the affinitv of the hydrophobic guest molecule for tl1e cavity of the cyclodextrin host molec-lle with displacement of cavitv water moiecules to a thermodynamicallv more stable state. The term 'complex srability" or stability of a given inclusion comple:~ refers to the association/dissociation equilibrium of host and guest in solution.
Complex stability depends on the number of intermolecular bonding interactions between the host and guest. ~/ran der waals forces and hvdrophobic interactions are the main interactions stabilizing inclusion complexes (Bergeron, R.J. et al. Jol~rnal of th~ e~ ican Chemical Societv 1977~ 99~ 51~16). Depending on the nature and position of hydroaen bonding functionalities on a given guest, there may be hydrogen bondin~ between the guest and hydroxyl groups of the cvclodextrin or other hydrogen bonding groups in the case of cyclode~trin derivatives. Ionic interactions between the host and 17uest are also possible in the case of ionic cyclodextrins such as sulphobutyl ethers (Stella, V.J. et al Pharmaceutical Research 199~, 1' (9) S~05).
Cyclodextrin inclusion complexes may be prepared on the basis of liquidstate, solid state or semi-solid state reaction between the components (J.
Szejtli, Cyclodex~ri~Z Technology, Kluwer Academic Press). The first is accomplished by dissolving the cyclodextrin and guest in a suitable solvent or mixture of solvents and sLlbsequently isolating the solid state complex by crystallization, evaporation, spray drying or freeze drying. In the solid state method, the two components may be screened to ~miform particle size and thoroughly mixed whereafter they are ground in a high energy mill with optional heating, screened and homogenized. In the semi-solid state, the two components are kneaded in the presence of small amounts of a suitable solvent, and the complex so-formed, is dried, screened and homogenized.
The liquid state reaction ~enerally provides optimum conditions for completeness of reaction. Depending on solvent conditions, the dissolved inclusion complex e~ists in equilibrium between uncomplexed host and guest and complexed host/guest.
SUMMARY OF THE INVENTION
~ccording to a first aspect of the invention there is provided an inclusion complex of (a) an indole selective serotonin (~-HTID) a_onist or a pharmaceutically acceptable salt thereof and (b) an ~msubstituted or substiluted beta- or gamrna- cyclodextrin.
By an indole selective serotonin (~-HTID) agonist there is meant a compound whicll includes the indole structure, which structure will generally be substituted, and which has selective serotonin (~-HT,D) agonist activity.
The indole selective serotonin (~-HT,D) agonist is preferably selected from compounds having the formuJa:
X
~N
~vherein X and Y represent suitable substitutions, more preferably from the group consisting of sumatriptan, naratriptan, ri~atriptan, zolmitriptan, elelriptan and almotriptan or a pharmaceutically acceptable salt thereof.
Thus. compound (a) may be used in the form of the free base or in the form of a pharmaceutically acceptable salt such as a hydrochloride, succinate, citrate, furnarate, sulphate, benzoate, or maleate salt.
The inclusion complex preferably has a stoichiometry of (a) to (b) of 1:1 CA 022=,7s60 1998-12-09 mol/mol.
The inclusion compleY is preferably an incl-lsion comple,Y of sumatriptan free base and methyl-beta-cyclodeYtrin or of sumatriptan succinate and methyl-beta-cyclode~ctrin which has substantially the ~-rav powder diffraction pattern of Figure 4 or Figure 5.
According to a second aspect of the invention there is provided a pharmaceutical composition which comprises as an active ingredient an inclusion compleY of (a) an indole selective serotonin (~-HT,~) agonist or a pharmaceuticallv acceptable salt thereof and (b) an unsubstituted or substituted beta- or gamma-cyclodextrin.
The pharmaceutical composition is preferably for use in the treatment of mioraine and cluster headaches.
The pharmaceutical composition is preferablv adapted for oral or nasal mucosal delivery.
BRIEF DESCRIPTION OF THE D~AWINGS
The invention will now be described in more detail? by way of eYample only, with reference to the accompanying drawin,s in which:
Figure 1 shows a differential scanni~lg calorimetry thermogram of sumatriptan succinate with the onset melting temperature of 166~C and sharp endothermic melting peak at 167,9CC;
Figure 2 shows a differential scanning calorimetry thermogram of a 1:1 kneaded comple~c of sumatriptan succinate and methyl-beta-cyclodeYtrin obtained from EYample l;
CA 022~7860 1998-12-09 Figure 3 shows a differential scanning calorimetry thermogram of a 1:1 kneaded complex of sumatriptan succinate and methyl-beta-cyclodextrin containing I molar equivalent of tromethamine obtained from E~ample ~:
Figure 4 shows an X-ray powder diffraction pattern of the 1:1 kneaded comple~ of sumatriptan succinate and methyl-beta-cyclode~ctrin obtained from E~cample l;
Figure 5 shows an ~-ray powder diffraction pattern of the 1:1 kneaded complex of sumatriptan succina~e and methyl-beta-cyclodextrin containing one molar equivalent of tromethamine obtained from Example 2: and Figure 6 sho~vs a cut-away perspective of the geometry optimized molecular mechanical model of an inclusion complex of sumatriptan (pale grey) in beta-cyclode~trin (dark ~rey).
DESCRIPTION OF EMBODIMENTS
The crux of the invention is an inclusion cornplex of (a) an indole selective serotonin (5-HT,D) agonist or a pharmaceutically acceptable salt thereof and (b) an unsubstituted or substituted beta- or ~amma-cyclode~trin.
Examples of suitable compounds (a) are sumatriptan, naratriptan, rizatriptan, zolmitriptan, eletriptan and almotriptan. The compound may be used in the form of the free base or in the form of a pharmaceutically acceptable salt such as a hydrochloride, succinate, citrate, fumarate sulphate, benzoate, or maleate salt or the like.
The second component of the inclusion comple~c is an unsubstituted or CA 022~7860 1998-12-09 substituted beta- or gamma-cyclodextrin.
Highlv ~vater soluble cyclodextrins S-ICII as ~-hydrox,vpropylated or meth,vlated or sulphoalkylated derivatives of beta-cyclode~;trin are the preferred cyclodextrins of the invention. Gamma-c,vclodextrin or ~-hvdro~ypropylated or methvlated or sulphoalkylated derivatives of gamma-cyclodextrin ma,v also be used in the same manner as the corresponding preferred beta-c,vclodextrin derivatives. The degree of substitution of the c,vclodextrin derivatives may vary between I to ~0 substituents per cyclodextrin molecule but more preferably between ~ to 15 substituents per cyclodextrin molecule. When the c,vclode:ctrin is ~-hydrox,vpropyl-beta-cyclodextrin~ the preferred degree of substitution is bet~veen 3.9 alld ~.1 hvdroxypropyl groups per cyclodextrin molecule. When the c,vclodextrin is methyl-beta-cyclodextrin~ the preferred degree of substitution is between l 8 and ~ methyl groups per glucose unit.
The inclusion complex of the invention may be prepared from aqueous solutions~ slurries or pastes of the indole derivative and cyclode~trin according to conventional methods. The molar ratio of indole derivative to cyclodextrin may vary between 1:1 to 1:10 but more preferabl,v between 1:1 to 1:5. Solutions are prepared by dissolving the cvclodextrin in a sufficient quantity of purified deionised water which may be optionally buffered between pH 7,4 to 8,5. The indole derivative is added to the solution with stirring until dissolved. The solution may be used in the preparation of liquid delivery systems such as drops, sprays or aerosols. Where a solid inclusion complex is desired, the solution or slurry may be dried by spray drying or freeze drying.
Alternatively, the indole derivative and cyclodextrin are mixed. The powder mixture is wetted with water, optionally containing a buffer pH 7,4 - 8.5.
while mixing vigorously until a paste is formed. The paste is mixed for 0,''5 to ~ hours and dried in an oven or in vacuo at elevated temperature. The CA 022~7860 1998-12-09 dried comple,Y is crushed and sieved to tl~e desired particle size.
A pharmaceutically acceptable buffer, capable of b~lffering in the pH ran( e 7~ ,5 may be used in the formation of the inclusioll comple~. particularly when the indole derivative is present as a salt. Preferred buffers include tromethamine, triethanolamine, diethallolamine. phosphate buffer, sodium bicarbonate, and sodium carbonate. The concentration of the b-lffer may vary from 0,5 to ~ molar equivalents relative to the indo~e.
The second aspect of the invention is a pharmaceLItical composition ~vhich comprises as an active ingredient an inclusion comple~ as described above.
The pharmaceutical composition of the inven[ion is of particular application in the treatment of migraine and cluster headaches.
Further, the pharmaceutical composition of the invention is preferably adapted for oral or nasal mucosal delivery.
The ~lmini.stration of an anti-migraine drug throuah the mucosal tissue of the nose or mouth avoids the problems associated with administration of indole serotonin agonists by injection (i.e. patient aversion and painful administration) and oral administration (i.e. slow onset of action~ lo~v bio-availability and poor compliance due to nausea and vomiting associated with migraines) .
Absorption of the drug from the pharmaceutical composition of the invention is rapid such that the drug reaches the systemic circulation almost as fast as through injection and appreciably faster than oral ~(lmini.stration, which is highly advantageous for the rapid relief of migraine attack or cluster headache.
Further, the unpleasant taste and irritant properties of the active principle are CA 022~7860 l998-l2-09 reduced by presenting the drug to the nasal or oral mucosal membranes in the form of a cyclodeYtrin inclusion complex.
The present invention achieves these advantages bv molecular encaps~llation of the anti-migraine indole drug in a cvclodextrin, so forming a molecular inclusion complex which may be used in the solid form for the preparation of sublingual or buccal tablets, buccal patches or nasal inhalatioll powders (insufflations). The inclusion complex may be llsed in the liquid state for the preparation of metered dose sprays~ drops or pressurized aerosols for nasal or oral administration. The complex according to the invention may be incorporated into a shearform matrix designed for immediate release as described in ~uisz Technologies Ltd patents (Eur. Pat. Appl. EP 9~-6~0038 and PCT Int. Appl. WO 95/34~9J).
According to the invention, the indole nucleus of selective serotonin (5-HTID) agonists has been found to be readily included in the cavitv of beta-cyclodextrins such as hydroxypropyl-beta-cyclodeYtrin and methyl-beta-cyclode~trin to form molecular inclusion complexes with a 1:1 mol/mol stoichiometry. Inclusio!l compleYes of a variety of indole-based serotonin agonists may therefore be prepared according to methods known in the art such as spray drying, freeze drying and kneading, as described above. The complexes accordin to the invention may also be incorporated into microspheres by methods appreciated in the art. The complexes accordin_ to the invention are stable, amorphous and highly water soluble.
Penetration enhancers may be used to promote the passage of the indole derivative across the mucosal membranes. Tvpical permeation enhancers include fatty acids and their salts such as sodium caprate, sodium caprylate and sodium oleate, sodium laurate, and bile salts such as sodium glycodeoxycholate, sodium glycocholate, sodium cholate and sodium taurodeoxycholate. Other penetration enhancers may include tensides, ionic surfactants such as sodium lauryl sulphate, or non-ionic surfactants such as CA 022~7860 1998-12-09 Il polyethylene glycol 660 hydro~cystearate or polyoxyethylene lauryl ethers~
fusidates such as sodium taurodihydrofusidate. Other specific enhancers include azone and chitosan. Combinations of permeation enhancers such as polyoxyethylene ~ lauryl ether and sodium glycocholate or mi~ed micelles such as sodium caprate and sodium glycocholate may also be used. The penetration enhancers may also be used in combination with beta or gamma-cyclodextrins or their methyl, hydro~cypropyl or sulphoalkyl derivatives.
Typical concentrations of permeation enhancers are between 0,1 % to ~%, more preferably between 0,~% to 3~/O by weioht of the composition.
As stated above, the serotonin (S-HTID) agonist may be used in the form of the free base or a pharmaceutically acceptable salt. When acidic penetration enhancing excipients are used such as bile acids or fatty acids or pharmaceutically acceptable salts of bile acids or fatty acids, salt formation between the basic component of the serotonin (S-HT,D) agonists and the acidic component of the bile or fatty acid may occur.
Buffering agents may be incorporated into the pharmaceutical composition of the invention to control the microenvironmental pH surrounding the drug delivery system in the alkaline range, so as to maximize the percentage of the unionized form of the drug. Drugs in the unionized form cross mucosal membranes more readily than the corresponding unionized form.
Liquid compositions suitable for nasal or oral administration may contain a suitable quantity of viscosity modifying agents such as hypromellose or carbopol 934P and preservative agents such as chlorhe~cidine gluconate or thiomersal.
Oral compositions may contain suitable flavouring and sweetening agentssuch as cherry, mint, spearmint, vanilla, aspartame, sucrose, ~ylitoh saccharin and the like.
CA 022~7860 1998-12-09 Typical sublingual or buccal tablets may include lubricants such as magnesium stearate, calcium stearate and sodium stearvl fumarate to facilitate tablet compression~ diluenIs sucl1 as lactose. microcrvstalline cellulose, maize starch and the like and m-lcoadhesive a~ents such as chitosan. carbopol 934P. and hydroxvpropylcell-llose and the like.
Typical disintegrants to enhance sublingual tablet disintegration mav include sodium carboxymethylcellulose. sodium starch glvcolate~ polvplasdolle ~L.
and dried starch.
The following examples illustrate the present invention.
Sumatriptan succinate ( I g) and methyl-beta-cyclodextrin (3,18) are mixed in a mortar. Purified deionised water (2ml) is added in aliquots with mixing to form a uniform paste. Mixing is continued for 0~5 hours and the paste is transferred to a vacuum oven and dried at 40~C and ~ millibar. The dried complex is crushed with a pestle and passed through a 60 mesh (250 micron) sieve. The complex contains 23,0 % m/m (mass/mass) sumatriptan succinate as determined by HPLC.
Tromethamine (0,293g) was dissolved in 5 ml purified deionised water.
Sumatriptan succinate (Ig) and methyl-beta-cyclodextrin (3,18g) are mixed in a mortar. The tromethamine solution is added in aliquots with mixing to form a uniform paste. Mixing is continued for 0,5 hours and the paste is transferred to a vacuum oven and dried at 40~C and ~ millibar. The dried complex is crushed with a pestle and passed through a 60 mesh (250 micron) sieve. The complex contains 21,7 % m/m sumatriptan succinate as determined by HPLC.
The unit composition of a sublingual tablet containin(1 tl1e equivalent of 'O
mo sumatriptan base is as follows:
Sumatriptan/methyl-be~a-cyclodextrin complex ~from Example ~) 130m~
Lactose NF ~Omg Ma~nesium stearate I mg The complex is blended with the lactose. The lubricant is screened in and the mixhlre is blended and f'ormed into sublingual tablets by compression at 10 - 30N.
The unit composition of a sublingual tablet containing the equivalent of ~0 mg sumatriptan base is as follows:
Sumatriptan/methyl-beta-cyclodextrin complex (from Example 1) l'~mg Xylitol ~ 8mg Sodium caprate 3.75m(J
Magnesium stearate Img The complex is blended with the xylitol and sodium caprate. The lubricant is screened in and the mixture is blended and formed into subling-lal tablets by compression at 10 - 30N.
Hydroxypropyl-beta-cyclodextrin (3,39g) is dissolved in purified deionised water (8ml) buffered to pH 7,4 witl1 phosphate buff'er. Sumatriptan succinate (Ig) is added to the solution with stirring. The solution is stirred f'or ~0 CA 022s7860 1998-12-09 minutes and then sodium caprate (25mg) and chlorhe~idine gluconate (0,01%) is added. The volume is adjusted to 10 ml by addition of phosphate buffer pH 7,4 and the tonicity of the final sol-ltion is adjusted with sodium chloride to 300 mOsm/kg. The solution is f1ltered and filled into a metered dose nasal spray bottle. Each 0,1 ml metered dose contains 10 mg sumatriptan succinate suitable for nasal a~mini.~tration.
Referring now to the drawings, Figure 1 shows a differential scanning calorimetry thermogram of s-lmatriptan succinate with the onset meltillg temperature of 166~C and sharp endothermic meltincg peak at 167,9~C. The thermogram was recorded on a Perkin-Elmer DSC7 calorimeter with a heating rate of 5~C per minute. A sample mass of 1~36 mg was used.
Figure 2 shows a differential sc~T~nin,, calorimetry thermogram of a 1:1 kneaded complex of sumatriptan succinate and methyl-beta-cyclodextrin obtained from Example 1. The characteristic melting endotherm of sumatriptan succinate shown in Figure 1 is absent. providing evidence of inclusion complexation between sumatriptan and methyl-beta-cyclodextrin.
Characteristic decomposition of methyl-beta-cyclodextrin is seen from 175~C. Experimental conditions where as described in Exarnple 1, except that a sample mass of I 1,1 mg was used to provide a sumatriptan succinate response equivalent to Example 1.
Figure 3 shows a differential scanning calorimetr,v thermogram of a 1:1 kneaded complex of sumatriptan succinate and methyl-beta-cyclodextrin containing I molar equivalent of tromethamine obtained from Example 2.
The characteristic melting endothermy of sumatriptan succinate shown in Figure 1 is absent. An endotherm corresponding to the free base at 89~C is also absent providing evidence of inclusion complexation between sumatriptan and methyl-beta-cyclodextrin. Characteristic decomposition of methyl-beta-cyclodextrin is seen from 1 75~C. Experimental conditions were as described in Example 1 except that a sample mass of 12,42 mg was used CA 022~7860 1998-12-09 to provide a sumatriptan succinate response equivalent to E~ample 1.
Figure 4 sho~vs an X-ray powder diffraction pattern of tlle 1:1 kneadedcomplex of sumatriptan succinate and meth,vl-beta-c,vclodextrin obtained from Example 1. The absence of resolved sharp peaks characteristic of crystalline sumatriptan succinate indicates inclusion comple~ation with resultant loss of crystallinity. The resulting diffraction pattern is characteristic of an amorphous solid.
Figure 5 sho~,vs an X-ray powder diffraction pattern of the 1:1 kneadedcomple,Y of sumatriptan succinate and methyl-beta-cyclode,Ytrin containing I molar equivalent of trornethamine obtained from E.~ample 2. The absence of resolved sharp peaks characteristic of crystalline sumatriptan succinate and tromethamine indicates inclusion comple~ation witll resultant loss of cr,vstallinity, The resulting diffraction pattern is characteristic of an amorphous solid.
Figure 6 shows a cut-away perspective of the geometry optimised molecular mechanical model of an inclusion complex of sumatriptan (pale grey) in beta-cyclodextrin (dark grey). The indole nucleus fills the cavity with the pendant dimethylaminoethyl (bottom) and metl1anesulphonamide (top) side chains extending out of the cavity.
SELECTIVE SEROTONTN AGONIST
BACKGROUND OF THE INVEi~TION
THIS invention relates to an inclusion comple,Y of an indole selective serolonin (5-HT~D) agonist and an unsubstituted or substituted beta- or garnma-cyclode,Ytrin, and to pharmaceutical composi~ions containing such a complex, particularly for oral or nasal mucosal delivery, for the trealment of migraine or cluster headaches.
Sumatriptan (3-(2-dimethylaminoethyl)indol-5-yl-N-melhylmethanesulphonamide) and olher structurally relaled indole derivatives such as naratriptan, rizatriptan, zolmitriptan, eletriptan and almotriptan are selective serotonin (5-HT,D) agonists useful for the trealment of migraine. Sumatriptan is given orally or subcutaneously as the succinate salt for the treatment of migraine. Sumatriptan is rapidly absorbed following oral a~mini.stration and undergoes e,Ytensive pre-systemic metabolism, CA 022~7860 1998-12-09 W 098/02186 PCTtGB97/01872 resulting in a low bioavailability of about 14%. The bioavailability fo~lowing subcutaneous a-lmini~tration is 96%. For the acute treatment of migraine~
sumatriptan may be given in an initial dose of lOOmg by mouth and a clinical response can be e~pected between 0,- to ' ho-lrs. Alternatively, sumatriptan may be given by subcutaneous injectioll in a single dose of 6 mg with a clinical response in 10 - 1~ minutes.
Apart from the low bioavailability following oral administration of anti-migraine compo-mds such as sumatriptan~ the classical oral route of administration has limitations in the treatment of migraine due to nausea and vomiting associated with migraine attacks. Many patients are averse to self administration by subcutaneous injection, limiting this route of a~lmini.~tration.
The oral and nasal cavities have several advantages as sites for systemic drug delivery, particularly avoidance of presystemic metabolism. However, the low permeability of the membranes that line the oral and nasal cavities result in a low flux of drug. There is therefore a need to enhance drug penetration to improve bioavailability following oral or nasal m-lcosal drug delivery.
There are several methods known in the art to deliver drugs to the oral and nasal mucosae. These include buccal and sublingual tablets or lozenges, adhesive patches, gels, solutions or sprays (powder, liquid or aerosol) for the oral cavity and solutions or sprays (powder, liquid or aerosol) for the nasal cavity.
The absorption of drugs from mucosal membranes may be enhanced by (i) increasing drug solubility, (ii) pH modification to favour the unionized form of the drug, (iii) addition of mucoadhesive agents to improve contact between the delivery system and the membrane and (iv) incorporation of so-called penetration enhancers.
CA 022~7860 1998-12-09 There are a number of penetration enhancers known to influence the permeability of drugs across epithelial membranes [for a recent review see Walker, R.B and Smith. E.W. Advanced Drug Delivery Revie~vs 1996 '95-301] .
CyclodeYtrins and their derivatives have found e~;tensive application as sol~lbilizers and stabilizers due to their abilit,v to form inclusion compleYes with a wide variety of compounds [see (J. Szejtli. C~ clocf~xtrin Techf1010~;, Kluwer Academic Press) and (J. Szejtli & K-H Frommin_, Cyclo~ex~ri)?s in Pharmacy, Kluwer Academic Press)]. Cyclode~trins have been used to enhance intestinal absorption of drugs primaril,v throuoh increasino solubility.Recently. cyclodextrins have been shown to have positive and ne~ative effects on transdermal penetration of drugs [see (Loftsson. T. et al International Journal of Pharmaceutics 199~ 58), (Vollmer~ U. et al. International Journal of Pharmaceutics 1993, 99~ ~1-58), (Legendre. J.Y.
et al. European Journal of Pharmaceutical Sciences 199~, 3~ 311-3~) and (Vollmer, U. et al Journal of Pharmacy and Pharmacology 199~ 46, 19-~2)~ .
Cyclode,Ytrins may improve nasal absorption of dru~s [see (Merkus~ F.W. et al. Pharmaceutical Research 1991, 8~ 588-59~) and (Shao~ Z. et al Pharmaceutical Research 199~, 9, 11~7-1163)] and enhance absorption from sublingual a(lmini.~tration of drug/cyclode,Ytrin comple~es. CyclodeYtrins also protect nasal mucosal damage by penetration enhancers [see Jabbal-Gill, I. et al. European Journal of Pharmaceutical Sciences 1994~ 1(5)~ 229-~36]
Cyclodextrins are water soluble cone-shaped cyclic oligosaccharides containing 6, 7 or 8 glucopyranose units. The interior or 'cavity" of the cone is hydrophobic whilst the exterior is hydrophilic. The size of the cavit,v increases with increasing number of glucose units. Several cvclode~trin derivatives such as alkyl, hydro,Yyalkyl and sulfoalkyl ethers have been prepared with improved solubility [see (J. Szejtli & K-H Fromming~
Cyclodextrins in Pharmacy, Kluwer Academic Press) and (Stella~ V.J. et al CA 022s7860 1998-12-09 Pharmaceutical Research 1995, 1~ (9) S205)1. Suitably sized hydrophobic''~uest" molecules may enter the ~'host' cavitv to form a classical host-~Juest 'inclusion compound" or ''inclusion complex' witll either the elltire guest molecule included or only a portion thereof~ The driving mechanism for cyclodextrin inclusion complexation is the affinitv of the hydrophobic guest molecule for tl1e cavity of the cyclodextrin host molec-lle with displacement of cavitv water moiecules to a thermodynamicallv more stable state. The term 'complex srability" or stability of a given inclusion comple:~ refers to the association/dissociation equilibrium of host and guest in solution.
Complex stability depends on the number of intermolecular bonding interactions between the host and guest. ~/ran der waals forces and hvdrophobic interactions are the main interactions stabilizing inclusion complexes (Bergeron, R.J. et al. Jol~rnal of th~ e~ ican Chemical Societv 1977~ 99~ 51~16). Depending on the nature and position of hydroaen bonding functionalities on a given guest, there may be hydrogen bondin~ between the guest and hydroxyl groups of the cvclodextrin or other hydrogen bonding groups in the case of cyclode~trin derivatives. Ionic interactions between the host and 17uest are also possible in the case of ionic cyclodextrins such as sulphobutyl ethers (Stella, V.J. et al Pharmaceutical Research 199~, 1' (9) S~05).
Cyclodextrin inclusion complexes may be prepared on the basis of liquidstate, solid state or semi-solid state reaction between the components (J.
Szejtli, Cyclodex~ri~Z Technology, Kluwer Academic Press). The first is accomplished by dissolving the cyclodextrin and guest in a suitable solvent or mixture of solvents and sLlbsequently isolating the solid state complex by crystallization, evaporation, spray drying or freeze drying. In the solid state method, the two components may be screened to ~miform particle size and thoroughly mixed whereafter they are ground in a high energy mill with optional heating, screened and homogenized. In the semi-solid state, the two components are kneaded in the presence of small amounts of a suitable solvent, and the complex so-formed, is dried, screened and homogenized.
The liquid state reaction ~enerally provides optimum conditions for completeness of reaction. Depending on solvent conditions, the dissolved inclusion complex e~ists in equilibrium between uncomplexed host and guest and complexed host/guest.
SUMMARY OF THE INVENTION
~ccording to a first aspect of the invention there is provided an inclusion complex of (a) an indole selective serotonin (~-HTID) a_onist or a pharmaceutically acceptable salt thereof and (b) an ~msubstituted or substiluted beta- or gamrna- cyclodextrin.
By an indole selective serotonin (~-HTID) agonist there is meant a compound whicll includes the indole structure, which structure will generally be substituted, and which has selective serotonin (~-HT,D) agonist activity.
The indole selective serotonin (~-HT,D) agonist is preferably selected from compounds having the formuJa:
X
~N
~vherein X and Y represent suitable substitutions, more preferably from the group consisting of sumatriptan, naratriptan, ri~atriptan, zolmitriptan, elelriptan and almotriptan or a pharmaceutically acceptable salt thereof.
Thus. compound (a) may be used in the form of the free base or in the form of a pharmaceutically acceptable salt such as a hydrochloride, succinate, citrate, furnarate, sulphate, benzoate, or maleate salt.
The inclusion complex preferably has a stoichiometry of (a) to (b) of 1:1 CA 022=,7s60 1998-12-09 mol/mol.
The inclusion compleY is preferably an incl-lsion comple,Y of sumatriptan free base and methyl-beta-cyclodeYtrin or of sumatriptan succinate and methyl-beta-cyclode~ctrin which has substantially the ~-rav powder diffraction pattern of Figure 4 or Figure 5.
According to a second aspect of the invention there is provided a pharmaceutical composition which comprises as an active ingredient an inclusion compleY of (a) an indole selective serotonin (~-HT,~) agonist or a pharmaceuticallv acceptable salt thereof and (b) an unsubstituted or substituted beta- or gamma-cyclodextrin.
The pharmaceutical composition is preferably for use in the treatment of mioraine and cluster headaches.
The pharmaceutical composition is preferablv adapted for oral or nasal mucosal delivery.
BRIEF DESCRIPTION OF THE D~AWINGS
The invention will now be described in more detail? by way of eYample only, with reference to the accompanying drawin,s in which:
Figure 1 shows a differential scanni~lg calorimetry thermogram of sumatriptan succinate with the onset melting temperature of 166~C and sharp endothermic melting peak at 167,9CC;
Figure 2 shows a differential scanning calorimetry thermogram of a 1:1 kneaded comple~c of sumatriptan succinate and methyl-beta-cyclodeYtrin obtained from EYample l;
CA 022~7860 1998-12-09 Figure 3 shows a differential scanning calorimetry thermogram of a 1:1 kneaded complex of sumatriptan succinate and methyl-beta-cyclodextrin containing I molar equivalent of tromethamine obtained from E~ample ~:
Figure 4 shows an X-ray powder diffraction pattern of the 1:1 kneaded comple~ of sumatriptan succinate and methyl-beta-cyclode~ctrin obtained from E~cample l;
Figure 5 shows an ~-ray powder diffraction pattern of the 1:1 kneaded complex of sumatriptan succina~e and methyl-beta-cyclodextrin containing one molar equivalent of tromethamine obtained from Example 2: and Figure 6 sho~vs a cut-away perspective of the geometry optimized molecular mechanical model of an inclusion complex of sumatriptan (pale grey) in beta-cyclode~trin (dark ~rey).
DESCRIPTION OF EMBODIMENTS
The crux of the invention is an inclusion cornplex of (a) an indole selective serotonin (5-HT,D) agonist or a pharmaceutically acceptable salt thereof and (b) an unsubstituted or substituted beta- or ~amma-cyclode~trin.
Examples of suitable compounds (a) are sumatriptan, naratriptan, rizatriptan, zolmitriptan, eletriptan and almotriptan. The compound may be used in the form of the free base or in the form of a pharmaceutically acceptable salt such as a hydrochloride, succinate, citrate, fumarate sulphate, benzoate, or maleate salt or the like.
The second component of the inclusion comple~c is an unsubstituted or CA 022~7860 1998-12-09 substituted beta- or gamma-cyclodextrin.
Highlv ~vater soluble cyclodextrins S-ICII as ~-hydrox,vpropylated or meth,vlated or sulphoalkylated derivatives of beta-cyclode~;trin are the preferred cyclodextrins of the invention. Gamma-c,vclodextrin or ~-hvdro~ypropylated or methvlated or sulphoalkylated derivatives of gamma-cyclodextrin ma,v also be used in the same manner as the corresponding preferred beta-c,vclodextrin derivatives. The degree of substitution of the c,vclodextrin derivatives may vary between I to ~0 substituents per cyclodextrin molecule but more preferably between ~ to 15 substituents per cyclodextrin molecule. When the c,vclode:ctrin is ~-hydrox,vpropyl-beta-cyclodextrin~ the preferred degree of substitution is bet~veen 3.9 alld ~.1 hvdroxypropyl groups per cyclodextrin molecule. When the c,vclodextrin is methyl-beta-cyclodextrin~ the preferred degree of substitution is between l 8 and ~ methyl groups per glucose unit.
The inclusion complex of the invention may be prepared from aqueous solutions~ slurries or pastes of the indole derivative and cyclode~trin according to conventional methods. The molar ratio of indole derivative to cyclodextrin may vary between 1:1 to 1:10 but more preferabl,v between 1:1 to 1:5. Solutions are prepared by dissolving the cvclodextrin in a sufficient quantity of purified deionised water which may be optionally buffered between pH 7,4 to 8,5. The indole derivative is added to the solution with stirring until dissolved. The solution may be used in the preparation of liquid delivery systems such as drops, sprays or aerosols. Where a solid inclusion complex is desired, the solution or slurry may be dried by spray drying or freeze drying.
Alternatively, the indole derivative and cyclodextrin are mixed. The powder mixture is wetted with water, optionally containing a buffer pH 7,4 - 8.5.
while mixing vigorously until a paste is formed. The paste is mixed for 0,''5 to ~ hours and dried in an oven or in vacuo at elevated temperature. The CA 022~7860 1998-12-09 dried comple,Y is crushed and sieved to tl~e desired particle size.
A pharmaceutically acceptable buffer, capable of b~lffering in the pH ran( e 7~ ,5 may be used in the formation of the inclusioll comple~. particularly when the indole derivative is present as a salt. Preferred buffers include tromethamine, triethanolamine, diethallolamine. phosphate buffer, sodium bicarbonate, and sodium carbonate. The concentration of the b-lffer may vary from 0,5 to ~ molar equivalents relative to the indo~e.
The second aspect of the invention is a pharmaceLItical composition ~vhich comprises as an active ingredient an inclusion comple~ as described above.
The pharmaceutical composition of the inven[ion is of particular application in the treatment of migraine and cluster headaches.
Further, the pharmaceutical composition of the invention is preferably adapted for oral or nasal mucosal delivery.
The ~lmini.stration of an anti-migraine drug throuah the mucosal tissue of the nose or mouth avoids the problems associated with administration of indole serotonin agonists by injection (i.e. patient aversion and painful administration) and oral administration (i.e. slow onset of action~ lo~v bio-availability and poor compliance due to nausea and vomiting associated with migraines) .
Absorption of the drug from the pharmaceutical composition of the invention is rapid such that the drug reaches the systemic circulation almost as fast as through injection and appreciably faster than oral ~(lmini.stration, which is highly advantageous for the rapid relief of migraine attack or cluster headache.
Further, the unpleasant taste and irritant properties of the active principle are CA 022~7860 l998-l2-09 reduced by presenting the drug to the nasal or oral mucosal membranes in the form of a cyclodeYtrin inclusion complex.
The present invention achieves these advantages bv molecular encaps~llation of the anti-migraine indole drug in a cvclodextrin, so forming a molecular inclusion complex which may be used in the solid form for the preparation of sublingual or buccal tablets, buccal patches or nasal inhalatioll powders (insufflations). The inclusion complex may be llsed in the liquid state for the preparation of metered dose sprays~ drops or pressurized aerosols for nasal or oral administration. The complex according to the invention may be incorporated into a shearform matrix designed for immediate release as described in ~uisz Technologies Ltd patents (Eur. Pat. Appl. EP 9~-6~0038 and PCT Int. Appl. WO 95/34~9J).
According to the invention, the indole nucleus of selective serotonin (5-HTID) agonists has been found to be readily included in the cavitv of beta-cyclodextrins such as hydroxypropyl-beta-cyclodeYtrin and methyl-beta-cyclode~trin to form molecular inclusion complexes with a 1:1 mol/mol stoichiometry. Inclusio!l compleYes of a variety of indole-based serotonin agonists may therefore be prepared according to methods known in the art such as spray drying, freeze drying and kneading, as described above. The complexes accordin to the invention may also be incorporated into microspheres by methods appreciated in the art. The complexes accordin_ to the invention are stable, amorphous and highly water soluble.
Penetration enhancers may be used to promote the passage of the indole derivative across the mucosal membranes. Tvpical permeation enhancers include fatty acids and their salts such as sodium caprate, sodium caprylate and sodium oleate, sodium laurate, and bile salts such as sodium glycodeoxycholate, sodium glycocholate, sodium cholate and sodium taurodeoxycholate. Other penetration enhancers may include tensides, ionic surfactants such as sodium lauryl sulphate, or non-ionic surfactants such as CA 022~7860 1998-12-09 Il polyethylene glycol 660 hydro~cystearate or polyoxyethylene lauryl ethers~
fusidates such as sodium taurodihydrofusidate. Other specific enhancers include azone and chitosan. Combinations of permeation enhancers such as polyoxyethylene ~ lauryl ether and sodium glycocholate or mi~ed micelles such as sodium caprate and sodium glycocholate may also be used. The penetration enhancers may also be used in combination with beta or gamma-cyclodextrins or their methyl, hydro~cypropyl or sulphoalkyl derivatives.
Typical concentrations of permeation enhancers are between 0,1 % to ~%, more preferably between 0,~% to 3~/O by weioht of the composition.
As stated above, the serotonin (S-HTID) agonist may be used in the form of the free base or a pharmaceutically acceptable salt. When acidic penetration enhancing excipients are used such as bile acids or fatty acids or pharmaceutically acceptable salts of bile acids or fatty acids, salt formation between the basic component of the serotonin (S-HT,D) agonists and the acidic component of the bile or fatty acid may occur.
Buffering agents may be incorporated into the pharmaceutical composition of the invention to control the microenvironmental pH surrounding the drug delivery system in the alkaline range, so as to maximize the percentage of the unionized form of the drug. Drugs in the unionized form cross mucosal membranes more readily than the corresponding unionized form.
Liquid compositions suitable for nasal or oral administration may contain a suitable quantity of viscosity modifying agents such as hypromellose or carbopol 934P and preservative agents such as chlorhe~cidine gluconate or thiomersal.
Oral compositions may contain suitable flavouring and sweetening agentssuch as cherry, mint, spearmint, vanilla, aspartame, sucrose, ~ylitoh saccharin and the like.
CA 022~7860 1998-12-09 Typical sublingual or buccal tablets may include lubricants such as magnesium stearate, calcium stearate and sodium stearvl fumarate to facilitate tablet compression~ diluenIs sucl1 as lactose. microcrvstalline cellulose, maize starch and the like and m-lcoadhesive a~ents such as chitosan. carbopol 934P. and hydroxvpropylcell-llose and the like.
Typical disintegrants to enhance sublingual tablet disintegration mav include sodium carboxymethylcellulose. sodium starch glvcolate~ polvplasdolle ~L.
and dried starch.
The following examples illustrate the present invention.
Sumatriptan succinate ( I g) and methyl-beta-cyclodextrin (3,18) are mixed in a mortar. Purified deionised water (2ml) is added in aliquots with mixing to form a uniform paste. Mixing is continued for 0~5 hours and the paste is transferred to a vacuum oven and dried at 40~C and ~ millibar. The dried complex is crushed with a pestle and passed through a 60 mesh (250 micron) sieve. The complex contains 23,0 % m/m (mass/mass) sumatriptan succinate as determined by HPLC.
Tromethamine (0,293g) was dissolved in 5 ml purified deionised water.
Sumatriptan succinate (Ig) and methyl-beta-cyclodextrin (3,18g) are mixed in a mortar. The tromethamine solution is added in aliquots with mixing to form a uniform paste. Mixing is continued for 0,5 hours and the paste is transferred to a vacuum oven and dried at 40~C and ~ millibar. The dried complex is crushed with a pestle and passed through a 60 mesh (250 micron) sieve. The complex contains 21,7 % m/m sumatriptan succinate as determined by HPLC.
The unit composition of a sublingual tablet containin(1 tl1e equivalent of 'O
mo sumatriptan base is as follows:
Sumatriptan/methyl-be~a-cyclodextrin complex ~from Example ~) 130m~
Lactose NF ~Omg Ma~nesium stearate I mg The complex is blended with the lactose. The lubricant is screened in and the mixhlre is blended and f'ormed into sublingual tablets by compression at 10 - 30N.
The unit composition of a sublingual tablet containing the equivalent of ~0 mg sumatriptan base is as follows:
Sumatriptan/methyl-beta-cyclodextrin complex (from Example 1) l'~mg Xylitol ~ 8mg Sodium caprate 3.75m(J
Magnesium stearate Img The complex is blended with the xylitol and sodium caprate. The lubricant is screened in and the mixture is blended and formed into subling-lal tablets by compression at 10 - 30N.
Hydroxypropyl-beta-cyclodextrin (3,39g) is dissolved in purified deionised water (8ml) buffered to pH 7,4 witl1 phosphate buff'er. Sumatriptan succinate (Ig) is added to the solution with stirring. The solution is stirred f'or ~0 CA 022s7860 1998-12-09 minutes and then sodium caprate (25mg) and chlorhe~idine gluconate (0,01%) is added. The volume is adjusted to 10 ml by addition of phosphate buffer pH 7,4 and the tonicity of the final sol-ltion is adjusted with sodium chloride to 300 mOsm/kg. The solution is f1ltered and filled into a metered dose nasal spray bottle. Each 0,1 ml metered dose contains 10 mg sumatriptan succinate suitable for nasal a~mini.~tration.
Referring now to the drawings, Figure 1 shows a differential scanning calorimetry thermogram of s-lmatriptan succinate with the onset meltillg temperature of 166~C and sharp endothermic meltincg peak at 167,9~C. The thermogram was recorded on a Perkin-Elmer DSC7 calorimeter with a heating rate of 5~C per minute. A sample mass of 1~36 mg was used.
Figure 2 shows a differential sc~T~nin,, calorimetry thermogram of a 1:1 kneaded complex of sumatriptan succinate and methyl-beta-cyclodextrin obtained from Example 1. The characteristic melting endotherm of sumatriptan succinate shown in Figure 1 is absent. providing evidence of inclusion complexation between sumatriptan and methyl-beta-cyclodextrin.
Characteristic decomposition of methyl-beta-cyclodextrin is seen from 175~C. Experimental conditions where as described in Exarnple 1, except that a sample mass of I 1,1 mg was used to provide a sumatriptan succinate response equivalent to Example 1.
Figure 3 shows a differential scanning calorimetr,v thermogram of a 1:1 kneaded complex of sumatriptan succinate and methyl-beta-cyclodextrin containing I molar equivalent of tromethamine obtained from Example 2.
The characteristic melting endothermy of sumatriptan succinate shown in Figure 1 is absent. An endotherm corresponding to the free base at 89~C is also absent providing evidence of inclusion complexation between sumatriptan and methyl-beta-cyclodextrin. Characteristic decomposition of methyl-beta-cyclodextrin is seen from 1 75~C. Experimental conditions were as described in Example 1 except that a sample mass of 12,42 mg was used CA 022~7860 1998-12-09 to provide a sumatriptan succinate response equivalent to E~ample 1.
Figure 4 sho~vs an X-ray powder diffraction pattern of tlle 1:1 kneadedcomplex of sumatriptan succinate and meth,vl-beta-c,vclodextrin obtained from Example 1. The absence of resolved sharp peaks characteristic of crystalline sumatriptan succinate indicates inclusion comple~ation with resultant loss of crystallinity. The resulting diffraction pattern is characteristic of an amorphous solid.
Figure 5 sho~,vs an X-ray powder diffraction pattern of the 1:1 kneadedcomple,Y of sumatriptan succinate and methyl-beta-cyclode,Ytrin containing I molar equivalent of trornethamine obtained from E.~ample 2. The absence of resolved sharp peaks characteristic of crystalline sumatriptan succinate and tromethamine indicates inclusion comple~ation witll resultant loss of cr,vstallinity, The resulting diffraction pattern is characteristic of an amorphous solid.
Figure 6 shows a cut-away perspective of the geometry optimised molecular mechanical model of an inclusion complex of sumatriptan (pale grey) in beta-cyclodextrin (dark grey). The indole nucleus fills the cavity with the pendant dimethylaminoethyl (bottom) and metl1anesulphonamide (top) side chains extending out of the cavity.
Claims (18)
1 An inclusion complex of (a) an indole selective serotonin (5-HT ID) agonist or a pharmaceutically acceptable salt thereof and (b) an unsubstituted or substituted beta-or gamma-cyclodextrin.
2 An inclusion complex accordin to claim 1 wherein (a) is sumatriptan or a pharmaceutically acceptable salt thereof.
3 An inclusion complex accordng to claim 1 wherein (a) is selected from the group consisting of naratriptan rizatriptan. zolmitriptan eletriptan and almotriptan and the pharmaceutically acceptable salts thereof.
4 An inclusion complex according to any one of claims 1 to 3 wherein (b) is selected from the group consisting of 2-hydroxypropyl-beta-cyclodextrins a methylated-beta-cyclodextrins and a sulphoalkylated beta-cyclodextrin.
An inclusion complex according to any one of claims 1 to 4 wherein (b) has a degree of substitution between 1 to 20 substituents per cyclodextrin molecule.
6 An inclusion complex according to claim 5 wherein (b) has a degree of substitutioll between 3 to 15 substituents per cyclodextrin molecule.
7 An inclusion complex according to any one of claims 1 to 3 wherein (b) is 2-hydroxypropyl beta-cyclodextrin with a degree of substitution between 3,9 and 5,1 hydroxypropyl groups per cyclodextrin molecule.
8 An inclusion complex according to any one of claims 1 to 3 where (b) is methyl-beta-cyclodextrin with a degree of substitution between 1,8 and 2 methyl groups per glucose unit.
9 An inclusion complex of sumatriptan free base and methyl-beta-cyclodextrin.
An inclusion complex of sumatriptan succinate and methyl-beta-cyclodextrin.
11 An inclusion complex of sumatriptan succinate and methyl-beta-cyclodextrin having substantially the X-ray powder diffraction pattern of Figure 4 or Figure 5.
12 An inclusion complex according to any one of claims 1 to 11 wherein the inclusion complex has a stoichiometry of (a) to (b) of 1:1 mol/mol.
13 A pharmaceutical composition comprises as an active ingredient an inclusion complex of (a) an indole selective serotonin (5-HT ID) agonist or a pharmaceutically acceptable salt thereof and (b) an unsubstituted or substituted beta- or gamma-cyclodextrin.
14 A pharmaceutical composition according to claim 13 wherein the inclusion complex is as defined in any one of claims 2 to 12.
A pharmaceutical composition according to claim 13 or claim 14 for use in the treatment of migraine or cluster headaches.
16 A pharmaceutical composition according to any one of claims 13 to 15 formulated for oral or nasal mucosal delivery.
17 The use of an inclusion complex of (a) an indole selective serotonin (5-HT ID) agonist or a pharmaceutically acceptable salt thereof and (b) an unsubstituted or substituted beta- or gamma-cyclodextrin in the manufacture of a medicament for use in the treatment of migraine or cluster headaches.
18 The use according to claim 17 wherein the inclusion complex is as defined in any one of claims 2 to 12.
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CA002259418A Abandoned CA2259418A1 (en) | 1996-07-11 | 1997-07-11 | Pharmaceutical composition containing acid addition salt of basic drug |
CA002257860A Abandoned CA2257860A1 (en) | 1996-07-11 | 1997-07-11 | Inclusion complex containing indole selective serotonin agonist |
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EP (1) | EP1024833A1 (en) |
JP (2) | JP2000505090A (en) |
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CA (2) | CA2259418A1 (en) |
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1997
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- 1997-07-11 BR BR9710241A patent/BR9710241A/en not_active Application Discontinuation
- 1997-07-11 IL IL12795597A patent/IL127955A0/en unknown
- 1997-07-11 IL IL12795697A patent/IL127956A0/en unknown
- 1997-07-11 CA CA002259418A patent/CA2259418A1/en not_active Abandoned
- 1997-07-11 WO PCT/GB1997/001872 patent/WO1998002186A1/en not_active Application Discontinuation
- 1997-07-11 CN CN97197767A patent/CN1230123A/en active Pending
- 1997-07-11 AU AU34552/97A patent/AU3455297A/en not_active Abandoned
- 1997-07-11 AU AU34551/97A patent/AU712546B2/en not_active Ceased
- 1997-07-11 CA CA002257860A patent/CA2257860A1/en not_active Abandoned
- 1997-07-11 JP JP10505725A patent/JP2000505090A/en active Pending
- 1997-07-11 BR BR9710289A patent/BR9710289A/en not_active Application Discontinuation
- 1997-07-11 US US09/225,470 patent/US6255502B1/en not_active Expired - Fee Related
- 1997-07-11 JP JP50572698A patent/JP2001508027A/en active Pending
- 1997-07-11 EP EP97930681A patent/EP1024833A1/en not_active Withdrawn
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1999
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CA2259418A1 (en) | 1998-01-22 |
JP2001508027A (en) | 2001-06-19 |
EP1024833A1 (en) | 2000-08-09 |
CN1230123A (en) | 1999-09-29 |
IL127956A0 (en) | 1999-11-30 |
KR20000023708A (en) | 2000-04-25 |
US6255502B1 (en) | 2001-07-03 |
WO1998002187A1 (en) | 1998-01-22 |
KR20000022239A (en) | 2000-04-25 |
BR9710289A (en) | 1999-08-17 |
BR9710241A (en) | 1999-08-10 |
WO1998002186A1 (en) | 1998-01-22 |
AU3455297A (en) | 1998-02-09 |
JP2000505090A (en) | 2000-04-25 |
IL127955A0 (en) | 1999-11-30 |
AU3455197A (en) | 1998-02-09 |
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